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Re: Postmenopausal Bleeding, part 2 From: Larry Glazerman (l.glazerman@rcn.com) Thu Dec 29 19:24:32 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Not really Kick Counts" Previous message: Garry E. Siegel, M.D.: "Gyn: Postmenopausal Bleeding, part 2" In reply to: Garry E. Siegel, M.D.: "Gyn: Postmenopausal Bleeding, part 2" Next in thread: Henry Gregor: "Re: Gyn: Postmenopausal Bleeding, part 2" I think a lot of depends on the politics. If you'd really like to do the hyster yourself if possible, go for #1. Otherwise, I'd send to gyn-onc. -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown, PC 610-402-0161 l.glazerman@rcn.com -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Thursday, December 29, 2005 9:21 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Postmenopausal Bleeding, part 2 74 YO P0001 (1 adopted) on Vivelle 0.05 and Prometrium 100 mg./day presents with postmenopausal bleeding. The biopsy is complex hyperplasia with atypia, with a comment that there is not enough stroma to be certain there isn't a more advanced lesion. Would you: 1. Do and D and C and/or hysteroscopy? 2. Proceed to TAH-BSO? 3. Proceed to TAH-BSO and staging for endometrial cancer (which, for me, means involving a gyn oncologist)? 4. Proceed to TAH-BSO, get a frozen section, and then know whether staging is needed? I should add that the gyn oncology group doesn't really appreciate getting unplanned calls to step in for a node sampling, etc., when there was a chance to have pre-arranged. Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Henry Gregor: "Re: Not really Kick Counts" Previous message: Garry E. Siegel, M.D.: "Gyn: Postmenopausal Bleeding, part 2" In reply to: Garry E. Siegel, M.D.: "Gyn: Postmenopausal Bleeding, part 2" Next in thread: Henry Gregor: "Re: Gyn: Postmenopausal Bleeding, part 2"

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